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Incorporating traditional healing into an urban American Indian health organization: a case study of community member perspectives.

https://arctichealth.org/en/permalink/ahliterature123131
Source
J Couns Psychol. 2012 Oct;59(4):542-54
Publication Type
Article
Date
Oct-2012
Author
William E Hartmann
Joseph P Gone
Author Affiliation
Department of Psychology, University of Michigan, Ann Arbor, MI 48109-1043, USA. williaha@umich.edu
Source
J Couns Psychol. 2012 Oct;59(4):542-54
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Health
Community-Based Participatory Research
Female
Focus Groups
Health Services, Indigenous
Humans
Indians, North American - psychology
Male
Medicine, Traditional
Mental Disorders - ethnology - rehabilitation
Middle Aged
Midwestern United States
Needs Assessment
Organizational Case Studies
Substance-Related Disorders - ethnology - rehabilitation
Urban Health Services
Abstract
Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO). Qualitative content analysis of focus group transcripts revealed that ceremonial participation, traditional education, culture keepers, and community cohesion were thought to be key components of a successful traditional healing program. Potential incorporation of these components into an urban environment, however, yielded 4 marked tensions: traditional healing protocols versus the realities of impoverished urban living, multitribal representation in traditional healing services versus relational consistency with the culture keepers who would provide them, enthusiasm for traditional healing versus uncertainty about who is trustworthy, and the integrity of traditional healing versus the appeal of alternative medicine. Although these tensions would likely arise in most urban AI clinical contexts, the way in which each is resolved will likely depend on tailored community needs, conditions, and mental health objectives.
Notes
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PubMed ID
22731113 View in PubMed
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From health care to home community: an Aboriginal community-based ABI transition strategy.

https://arctichealth.org/en/permalink/ahliterature138013
Source
Brain Inj. 2011;25(2):142-52
Publication Type
Article
Date
2011
Author
Michelle Keightley
Victoria Kendall
Shu-Hyun Jang
Cindy Parker
Sabrina Agnihotri
Angela Colantonio
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Claudine Longboat-White
Alice Bellavance
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2011;25(2):142-52
Date
2011
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Brain Injuries - ethnology - rehabilitation
Community Health Services - standards
Continuity of Patient Care - standards
Female
Focus Groups
Health Services Accessibility
Health Services, Indigenous - standards
Humans
Longitudinal Studies
Male
Ontario
Patient Discharge
Prospective Studies
Qualitative Research
Self Report
Abstract
To explore the barriers and enablers surrounding the transition from health care to home community settings for Aboriginal clients recovering from acquired brain injuries (ABI) in northwestern Ontario.
Participatory research design using qualitative methods.
Focus groups conducted with clients with ABI, their caregivers and hospital and community health-care workers. The Framework Method of analysis was used to uncover emerging themes.
Six main categories emerged: ABI diagnosis accuracy, acute service delivery and hospital care, transition from hospital to homecare services, transition from hospital to community services, participant suggestions to improve service delivery and transition, and views on traditional healing methods during recovery.
A lack of awareness, education and resources were acknowledged as key challenges to successful transitioning by clients and healthcare providers. Geographical isolation of the communities was highlighted as a barrier to accessibility of services and programmes, but the community was also regarded as an important source of social support. The development of educational and screening tools and needs assessments of remote communities were identified to be strategies that may improve transitions.
Findings demonstrate that the structure of rehabilitation and discharge processes for Aboriginal clients living on reserves or in remote communities are of great concern and warrants further research.
PubMed ID
21219087 View in PubMed
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A scoping review of Indigenous suicide prevention in circumpolar regions.

https://arctichealth.org/en/permalink/ahliterature261034
Source
Int J Circumpolar Health. 2015;74:27509
Publication Type
Article
Date
2015
). Traditional and western knowledge EchoHawk (27) recommends better integrating Western and Traditional knowledge bases for more culturally appropriate intervention for youth suicide. Allen et al. (15) showed the effective translation of culturally based values into a measurable framing of protective
  1 document  
Author
Jennifer Redvers
Peter Bjerregaard
Heidi Eriksen
Sahar Fanian
Gwen Healey
Vanessa Hiratsuka
Michael Jong
Christina Viskum Lytken Larsen
Janice Linton
Nathaniel Pollock
Anne Silviken
Petter Stoor
Susan Chatwood
Source
Int J Circumpolar Health. 2015;74:27509
Date
2015
Language
English
Publication Type
Article
File Size
636900
Keywords
Adolescent
Adult
Age Factors
Arctic Regions
Female
Focus Groups
Humans
Male
Mental health
Needs Assessment
Population Groups/ethnology
Population Groups/statistics & numerical data
Primary Prevention/organization & administration
Retrospective Studies
Risk assessment
Sex Factors
Suicide/prevention & control
Survival Analysis
Young Adult
Abstract
Background. Suicide is a serious public health challenge in circumpolar regions, especially among Indigenous youth. Indigenous communities, government agencies and health care providers are making concerted efforts to reduce the burden of suicide and strengthen protective factors for individuals, families and communities. The persistence of suicide has made it clear that more needs to be done. Objective. Our aim was to undertake a scoping review of the peer-reviewed literature on suicide prevention and interventions in Indigenous communities across the circumpolar north. Our objective was to determine the extent and types of interventions that have been reported during past decade. We want to use this knowledge to support community initiative and inform intervention development and evaluation. Design. We conducted a scoping review of online databases to identify studies published between 2004 and 2014. We included articles that described interventions in differentiated circumpolar Indigenous populations and provided evaluation data. We retained grey literature publications for comparative reference. Results. Our search identified 95 articles that focused on suicide in distinct circumpolar Indigenous populations; 19 articles discussed specific suicide-related interventions and 7 of these described program evaluation methods and results in detail. The majority of publications on specific interventions were found in North American countries. The majority of prevention or intervention documentation was found in supporting grey literature sources. Conclusion. Despite widespread concern about suicide in the circumpolar world and active community efforts to promote resilience and mental well-being, we found few recorded programs or initiatives documented in the peer-reviewed literature, and even fewer focusing specifically on youth intervention. The interventions described in the studies we found had diverse program designs and content, and used varied evaluation methods and outcomes. The studies we included consistently reported that it was important to use community-based and culturally guided interventions and evaluations. This article summarizes the current climate of Indigenous circumpolar suicide research in the context of intervention and highlights how intervention-based outcomes have largely remained outside of peer-reviewed sources in this region of the world.
PubMed ID
25742882 View in PubMed
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